How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $56.23 | Facility | None | $52.48 | $52.48 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $56.23 Typical High $61.66 | Professional | None | $52.48 | $56.23 | $61.66 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | None | $74.13 | $74.13 | $93.33 |
BCBS Louisiana Setting Facility Modifier None Typical Low $85.11 Median $147.91 Typical High $208.93 | Facility | None | $85.11 | $147.91 | $208.93 |
BCBS Louisiana Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Christus Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | None | $52.48 | $52.48 | $72.44 |
United Setting Facility Modifier None Typical Low $64.57 Median $131.83 Typical High $131.83 | Facility | None | $64.57 | $131.83 | $131.83 |
United Setting Professional Modifier None Typical Low $32.36 Median $45.71 Typical High $70.79 | Professional | None | $32.36 | $45.71 | $70.79 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $28.18 Typical High $30.20 | Professional | 52 · Reduced service | $26.30 | $28.18 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $11.22 Typical High $12.30 | Professional | 53 · Discontinued | $10.47 | $11.22 | $12.30 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $8.51 Typical High $9.12 | Professional | 55 · Aftercare only | $7.94 | $8.51 | $9.12 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $5.25 Median $5.62 Typical High $6.17 | Professional | 56 · Pre-op care only | $5.25 | $5.62 | $6.17 |
Where Louisiana sits
The same service costs 5.0 times more in Hawaii than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Louisiana· 36th of 51
$58.88
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.